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Indiana rates for HCPCS C8903

Magnetic resonance imaging with contrast, breast; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $1,450.00 / $2,373.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.07 / $318.75 / $425.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.00 / $1,051.00 / $2,769.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.48 / $385.48 / $385.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.61 / $133.62 / $178.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.64 / $889.64 / $889.64